Individual
ANITA MARIE YEARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499
(253) 588-1711
(253) 581-6588
Mailing address
505 S 336TH ST, STE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00036471
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170819
LIWA
WA
01
—
0170829
LIWA
WA
01
—
2164YE
BSWA
WA
01
—
2264YE
BSWA
WA
05
—
8246928
—
WA
01
—
8373YE
BSWA
WA
Enumeration date
06/15/2006
Last updated
02/19/2008
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